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BOARD APPLICATION Pahrump Town Office 2100 E. Walt Williams Dr Pahrump, NV 89048 (77sI727-s1O7 Nye County Administration 2100 Walt Williams Dr. Pahrump, NV 89048 (77sl751-707s Please provide a brief description of your qualifications, experience, or interests that would be considered an asset to this Board: RRCEIVED l4AY 0 4 2023 BI: lcertify that lam a QUALIFIEO ELECTO R, that I MEET STATUTORY REQUIRMENTS ofthe Board area to which I am applying, and that the ron s true and accurate to the best of my knowledge. Signature The Boord to which you ore opplying meets ot least once o month dnd possibly evenings. 7)r, h t, t c- Ln^-ttJJ Y AeeticantNarlg, - , ! I h4 /1zt-rt^t *bl Tod./. Dare /14 /t y V ,2?>3 5Rl {rtst,+ OtY,^ /rl rl'Zu* P State fr.Sqrq? MailingAddrg5 City State: I I zip: I I Home Telephone aD>- s L/ t I OtherTelephone: Eflalladd.6s: ,r ,n1 NA N